Individual provider · Type 1 NPI

Joseph William Blake

Behavior Technician · Eden Prairie, MN

NPI number 1164174801 Active

Practice location

7615 Golden Triangle Dr
Eden Prairie, MN 55344-3733

Mailing address

1831 Victoria Cir
Victoria, MN 55386-9688

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1164174801

Joseph William Blake's National Provider Identifier is 1164174801, issued on Jan 24, 2022. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Eden Prairie, MN. The record was last updated on Jan 24, 2022.